Claims Processing Associate-Lincoln, NE

Company: NTT Data Inc
Location: Lincoln
Posted on: September 15, 2020

Job Description:

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Claims Processing Associate--Lincoln, NE to join our team in Lincoln, Nebraska (US-NE), United States (US).

In these roles you will be responsible for:

* Key membership elections and enrollment applications into ikaMedicareGateway system

* Update demographics and other membership information from paper correspondence and telephone call documentation

* Make outbound calls to health plan members to clarify missing or incomplete information

* Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and member maintenance.

* Research incomplete and missing information by utilizing several internal systems such as PRISM, MARx, ikaMedicareGateway and Content Manager.

* Update member demographics and track members through the Out of Area Process.

* Identify complex or out of compliance cases for escalation.

* Process returned mail. Research address information. Make outbound calls to members to obtain correct address.

* Perform quality check of pending membership correspondence for completeness and accuracy

Requirements for this role include:

* High school diploma or equivalent required -1+ year applicable health insurance experience

* Prior experience with Microsoft Word and Excel

Preferences:

* Work in a team environment and demonstrate strong attention to detail.

* Demonstrate strong verbal and written communication skills.

* Demonstrate professionalism with peers, subordinates, superiors and customers.

* Demonstrate strong analytical abilities.

* Manage time and prioritize effectively;

* Demonstrate an ability to cope with a complex and changing environment.

**Required schedule availability for this position is Monday-Friday 8:00 AM to 4:30 PM CST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

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